Construction engineering and management(CEM)has become increasingly complicated with the increasing size of engineering projects under different construction environments,motivating the digital transformation of CEM.T...Construction engineering and management(CEM)has become increasingly complicated with the increasing size of engineering projects under different construction environments,motivating the digital transformation of CEM.To contribute to a better understanding of the state of the art of smart techniques for engineering projects,this paper provides a comprehensive review of multi-criteria decision-making(MCDM)techniques,intelligent techniques,and their applications in CEM.First,a comprehensive framework detailing smart technologies for construction projects is developed.Next,the characteristics of CEM are summarized.A bibliometric review is then conducted to investigate the keywords,journals,and clusters related to the application of smart techniques in CEM during 2000-2022.Recent advancements in intelligent techniques are also discussed under the following six topics:①big data technology;②computer vision;③speech recognition;④natural language processing;⑤machine learning;and⑥knowledge representation,understanding,and reasoning.The applications of smart techniques are then illustrated via underground space exploitation.Finally,future research directions for the sustainable development of smart construction are highlighted.展开更多
BACKGROUND Surgically created arterio-venous fistulas(AVFs)are the gold standard for haemodialysis access for patients with end-stage renal disease.Standard practice of AVF creation involves selecting the non-dominant...BACKGROUND Surgically created arterio-venous fistulas(AVFs)are the gold standard for haemodialysis access for patients with end-stage renal disease.Standard practice of AVF creation involves selecting the non-dominant upper limb and starting with most distally with radio-cephalic arterio-venous fistula.The primary patency rate of radio-cephalic arterio-venous fistula varies from 20%-25%.It has been suggested the neointimal hyperplasia at the mobilized venous segment causes stenosis of the anastomosis.Therefore,the radial artery deviation and reimplantation(RADAR)technique,in which the vein is minimally mobilized,should result in a higher success rate.AIM To compare the RADAR technique with classical technique in creation of AVF including:(1)Success rate;(2)Time to maturation;(3)Duration of surgery;and(4)Complication rate.METHODS In our study we recruited 94 patients in two randomized groups and performed the AVF by the classical method or the RADAR method.RESULTS The RADAR group had higher primary success rate(P=0.007),less rate of complications(P=0.04),shorter duration of surgery(P=0.00)and early time to maturation(0.001)when compared with the classical group.The RADAR procedure is a safe and a more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.CONCLUSION The RADAR procedure is a safe and more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.展开更多
Objective:To explore the application effect and value of characteristic traditional Chinese medicine(TCM)nursing techniques in the colorectal department in clinical practice,in order to provide references for improvin...Objective:To explore the application effect and value of characteristic traditional Chinese medicine(TCM)nursing techniques in the colorectal department in clinical practice,in order to provide references for improving the nursing quality of patients and promoting their rehabilitation.Method:The colorectal department of Hospital A began to implement characteristic TCM nursing techniques in January 2023.Therefore,100 patients admitted to the colorectal department from September 2022 to December 2022 were set as the control group,and 100 patients admitted from January 2023 to April 2023 were taken as the experimental group.The experimental group adopted characteristic TCM nursing techniques,including comprehensive measures such as herbal enema therapy,TCM hip bath,acupoint massage and application,and emotional care;the control group adopted conventional Western medicine nursing methods.The application effect and value of characteristic TCM nursing techniques in the clinical practice of the colorectal department were evaluated by comparing indicators such as the frequency of use,the proportion of treated patients,the number of types,and patient satisfaction between the two groups.Result:After using the characteristic TCM nursing techniques,the recovery speed of the patients in the experimental group was significantly accelerated,and the incidence of complications was significantly reduced.Specifically,the average hospital stay of the patients in the experimental group was shortened by approximately 20%compared with the control group.At the same time,the pain score of the patients in the experimental group was also significantly lower than that of the control group.In addition,the satisfaction rate of the patients in the experimental group with the nursing service was as high as 95%,significantly higher than 80%of the control group.Conclusion:The application and practice of the characteristic TCM nursing techniques in the colorectal department have shown significant advantages in improving the recovery speed of patients and the quality of nursing services,and can be further promoted in clinical practice.展开更多
BACKGROUND Congenital renal arteriovenous fistula(RAVF)is a clinically rare condition and frequently missed and misdiagnosed.Multimodal imaging techniques can pro-vide more detailed diagnostic information to help phys...BACKGROUND Congenital renal arteriovenous fistula(RAVF)is a clinically rare condition and frequently missed and misdiagnosed.Multimodal imaging techniques can pro-vide more detailed diagnostic information to help physicians more accurately diagnose and treat diseases.Combining imaging methods to diagnose RAVF has rarely been reported.CASE SUMMARY A 69-year-old female patient presented with gross hematuria that had persisted for 10 days.The patient underwent ultrasound examinations of the kidneys and renal blood vessels,enhanced computed tomography,three-dimensional com-puted tomography angiography,and digital subtraction angiography of the renal arteries.These revealed dilatation of the left renal vein and abnormal shunting between the left renal artery and vein.The patient was diagnosed with a left RAVF using combined multimodal imaging techniques.The patient was treated with left renal artery embolization immediately after renal arteriography.Hema-turia resolved following the left renal artery embolization without serious bleeding or other complications.The patient made a full recovery after one year of postoperative follow-up.CONCLUSION Multimodal imaging techniques complement each other when diagnosing RAVF,providing detailed diagnostic information that can aid in accurate diagnosis and treatment.In addition,this case reminds the sonographer to pay more attention to the color doppler flow imaging and blood flow spectrum when examining the kidney,so as to avoid misdiagnosis of renal cystic lesions as renal cysts and missed diagnosis of RAVF.展开更多
The fertile soil of the countryside is also rich in artistic inspiration.“If farmers pick up a brush,they can become artists.If one devotes oneself wholeheartedly to something,a stroke of genius will follow,”said Mi...The fertile soil of the countryside is also rich in artistic inspiration.“If farmers pick up a brush,they can become artists.If one devotes oneself wholeheartedly to something,a stroke of genius will follow,”said Miao Huixin,a cultural envoy to Shengfeng Village in Youchegang Town,Xiuzhou District,Jiaxing City,Zhejiang Province.展开更多
Despite demonstrating significant anti-tumor potential as an artemisinin derivative,artesunate faces delivery efficiency challenges due to low water solubility and insufficient targeting specificity.To improve the del...Despite demonstrating significant anti-tumor potential as an artemisinin derivative,artesunate faces delivery efficiency challenges due to low water solubility and insufficient targeting specificity.To improve the delivery efficiency,we engineered three artesunate(ART) derivatives,AC_(15)-L(linear),AC_(15)-B(branched),and AC_(15)-C(cyclic) with distinct aliphatic chain architectures.Unexpectedly,we observed that AC_(15)-C exhibited superior cytotoxicity against 4T1 breast cancer cells,and had the highest binding affinity for Lon protease 1(LONP1)(-72.6 kcal/mol).Subsequently,disulfide bond-containing lipid-PEG(DSPESS-PEG2K) modified chain architecture-engineered ART derivatives nanoassemblies(NAs) were developed to mitigate solubility-related limitations while enhancing targeting precision.Molecular docking and experimental validation demonstrated that ART derivatives inhibited LONP1 through hydrophobic interactions while preserved Fe^(2+)-mediated Fenton-like reaction activity.In vitro and in vivo evaluations demonstrated that AC_(15)-C NAs outperformed free ART and other NAs,suppressing 4T1 tumor growth via dual action:LONP1-directed mitochondrial proteostasis collapse and reactive oxygen species(ROS) amplification through Fe^(2+)-ART interactions.This study elucidated a novel anti-tumor mechanism of ART through the rational design of derivatives with spatially configured aliphatic chains,and developed reductionresponsive NAs to provide an advanced delivery strategy.展开更多
At 82,master craftsman Zhu Bingren,China’s preeminent copper artist,continues to dynamically evolve his ancient heritage,proving that true preservation lies in innovation and bringing tradition into the contemporary ...At 82,master craftsman Zhu Bingren,China’s preeminent copper artist,continues to dynamically evolve his ancient heritage,proving that true preservation lies in innovation and bringing tradition into the contemporary world.THE copper art should not be confined to display cases,believes artist Zhu Bingren.From living rooms to fashion runways,and from the Great Wall in Beijing to the Louvre in Paris,the Chinese master craftsman brings his metal creations to life in diverse settings.展开更多
With the expansion of peanut planting area year by year,film mulching cultivation has become increasingly important in peanut production due to its unique advantages in enhancing both yield per unit area and overall e...With the expansion of peanut planting area year by year,film mulching cultivation has become increasingly important in peanut production due to its unique advantages in enhancing both yield per unit area and overall economic benefits.Based on the varietal characteristics of‘Zhouhua 5’and addressing practical issues in peanut production,this paper summarized key techniques for high-yield and high-efficiency film mulching cultivation of this variety.These techniques cover all critical stages,including land preparation and fertilization,seed preparation,sowing methods,field management,and timely harvesting,providing technical guidance for varietal promotion and peanut production.展开更多
Currently,the number of patients with myopia is increasing rapidly across the globe.Traditional Chinese medicine(TCM),with its long history and rich experience,has shown promise in effectively managing and treating th...Currently,the number of patients with myopia is increasing rapidly across the globe.Traditional Chinese medicine(TCM),with its long history and rich experience,has shown promise in effectively managing and treating this condition.Nevertheless,considering the vast amount of research that is currently being conducted,focusing on the utilization of TCM in the management of myopia,there is an urgent requirement for a thorough and comprehensive review.The review would serve to clarify the practical applications of TCM within this specific field,and it would also aim to elucidate the underlying mechanisms that are at play,providing a deeper understanding of how TCM principles can be effectively integrated into modern medical practices.Here,some modern medical pathogenesis of myopia and appropriate TCM techniques studies are summarized in the prevention and treatment of myopia.Further,we discussed the potential mechanisms and the future research directions of TCM against myopia.Identifying these mechanisms is crucial for understanding how TCM can be effectively utilized in this context.The combination of various TCM methods or the combination of traditional Chinese and Western medicine is of great significance for the prevention and control of myopia in the future.展开更多
Network-on-Chip(NoC)systems are progressively deployed in connecting massively parallel megacore systems in the new computing architecture.As a result,application mapping has become an important aspect of performance ...Network-on-Chip(NoC)systems are progressively deployed in connecting massively parallel megacore systems in the new computing architecture.As a result,application mapping has become an important aspect of performance and scalability,as current trends require the distribution of computation across network nodes/points.In this paper,we survey a large number of mapping and scheduling techniques designed for NoC architectures.This time,we concentrated on 3D systems.We take a systematic literature review approach to analyze existing methods across static,dynamic,hybrid,and machine-learning-based approaches,alongside preliminary AI-based dynamic models in recent works.We classify them into several main aspects covering power-aware mapping,fault tolerance,load-balancing,and adaptive for dynamic workloads.Also,we assess the efficacy of each method against performance parameters,such as latency,throughput,response time,and error rate.Key challenges,including energy efficiency,real-time adaptability,and reinforcement learning integration,are highlighted as well.To the best of our knowledge,this is one of the recent reviews that identifies both traditional and AI-based algorithms for mapping over a modern NoC,and opens research challenges.Finally,we provide directions for future work toward improved adaptability and scalability via lightweight learned models and hierarchical mapping frameworks.展开更多
Neuronanomedicine is a promising interdisciplinary field combining two critical fields,neuroscience and nanotechnology.This study focuses on the engineering of magnetized nanoparticles(MNPs)in diagnosing and treating ...Neuronanomedicine is a promising interdisciplinary field combining two critical fields,neuroscience and nanotechnology.This study focuses on the engineering of magnetized nanoparticles(MNPs)in diagnosing and treating neurological disorders and brain cancer.Additionally,this mechanism enhances the effectiveness of magnetic-guided drug delivery.The alternating magnetic field is applied to control the directions of the MNPs to target the tumor cells.This study approaches the radiotherapy techniques of magnetic hyperthermia therapy(MHT),wherein the thermal radiative heat transfer effect is applied to achieve homogenous heating to destroy cancer cells.MNPs are injected through the cerebrospinal fluid(CSF)transport in the glymphatic system.The elastic properties of the cerebral arteries cause peristaltic propulsion for the resulting nanofluid.Therefore,the effective Maxwell model for the nanofluid thermal conductivity is selected.The nanofluid governing equations are solved using the perturbation technique under small wavelength number and long wavelength approximation with small Reynolds number.Additionally,the effects of thermal slip and elastic properties boundary conditions are incorporated.The graphical results for the streamwise velocity,pressure,and temperature distributions are plotted using MATLAB package considering the different effects of the magnetic flux intensity,thermal radiation parameter,thermal slipping at boundaries,elastic wall properties,and nanoparticle concentration.The results demonstrate the strong impact of the magnetic field and radiation heating in terms of enhancing the nanofluid CSF flow behavior and destroying cancer.展开更多
This study investigates how to pedagogically integrate ideological education with competency development in the Intercultural Communication course,a challenge arising from China’s dual reform contexts of the New Libe...This study investigates how to pedagogically integrate ideological education with competency development in the Intercultural Communication course,a challenge arising from China’s dual reform contexts of the New Liberal Arts initiative and the national curriculum ideology policy.As global interactions intensify,cultivating foreign language professionals who possess both firm cultural confidence and sophisticated intercultural competence have become a critical educational imperative.This exploratory study investigates how a three-dimensional“Value-Knowledge-Competency”framework can guide the redesign of course content,task design,and assessment to achieve organic fusion.Drawing on qualitative data from a case study,it analyzes specific implementation pathways,synthesizes teacher and student feedback,and discusses the resultant challenges and broader implications for foreign language curriculum reform.The findings suggest that such an integrated approach can effectively synergize value guidance with skill cultivation,though its success hinges on overcoming issues related to pedagogical naturalness,resource allocation,and standardized evaluation.展开更多
Heat exchangers play a crucial role in thermal energy systems,with their performance directly impacting efficiency,cost,and environmental impact.Apowerful technique for performance improvement can be given by passive ...Heat exchangers play a crucial role in thermal energy systems,with their performance directly impacting efficiency,cost,and environmental impact.Apowerful technique for performance improvement can be given by passive enhancement strategies,which are characterized by their dependability and minimal external power requirements.This comprehensive review critically assesses recent advancements in such passive methods to evaluate their heat transfer mechanisms,performance characteristics,and practical implementation challenges.Our methodology involves a systematic and comprehensive analysis of various heat transfer enhancement techniques,including surface modifications,extended surfaces,swirl flow devices,and tube inserts.This approach synthesizes and integrates findings from a broad spectrum of experimental investigations and numerical simulations to establish a cohesive understanding of their performance characteristics and underlyingmechanisms.Based on the findings,passive heat transfer techniques result in significant improvements in thermal performance;for instance,corrugated and roughened surfaces increase the heat transfer coefficient by 50%–200%,and advanced insert geometries,such as modified twisted tapes,can increase it by more than 300%,typically accompanied by significant pressure-drop penalties.However,an important finding is the general trade-off between enhanced heat transfer and higher frictional loss,which requires optimization depending on the applications.Finally,this review also provides recommendations that will document the gaps of various passive techniques in heat exchangers to future address.展开更多
With the increasing emphasis on personal information protection,encryption through security protocols has emerged as a critical requirement in data transmission and reception processes.Nevertheless,IoT ecosystems comp...With the increasing emphasis on personal information protection,encryption through security protocols has emerged as a critical requirement in data transmission and reception processes.Nevertheless,IoT ecosystems comprise heterogeneous networks where outdated systems coexist with the latest devices,spanning a range of devices from non-encrypted ones to fully encrypted ones.Given the limited visibility into payloads in this context,this study investigates AI-based attack detection methods that leverage encrypted traffic metadata,eliminating the need for decryption and minimizing system performance degradation—especially in light of these heterogeneous devices.Using the UNSW-NB15 and CICIoT-2023 dataset,encrypted and unencrypted traffic were categorized according to security protocol,and AI-based intrusion detection experiments were conducted for each traffic type based on metadata.To mitigate the problem of class imbalance,eight different data sampling techniques were applied.The effectiveness of these sampling techniques was then comparatively analyzed using two ensemble models and three Deep Learning(DL)models from various perspectives.The experimental results confirmed that metadata-based attack detection is feasible using only encrypted traffic.In the UNSW-NB15 dataset,the f1-score of encrypted traffic was approximately 0.98,which is 4.3%higher than that of unencrypted traffic(approximately 0.94).In addition,analysis of the encrypted traffic in the CICIoT-2023 dataset using the same method showed a significantly lower f1-score of roughly 0.43,indicating that the quality of the dataset and the preprocessing approach have a substantial impact on detection performance.Furthermore,when data sampling techniques were applied to encrypted traffic,the recall in the UNSWNB15(Encrypted)dataset improved by up to 23.0%,and in the CICIoT-2023(Encrypted)dataset by 20.26%,showing a similar level of improvement.Notably,in CICIoT-2023,f1-score and Receiver Operation Characteristic-Area Under the Curve(ROC-AUC)increased by 59.0%and 55.94%,respectively.These results suggest that data sampling can have a positive effect even in encrypted environments.However,the extent of the improvement may vary depending on data quality,model architecture,and sampling strategy.展开更多
Before joining the Beijing Dragon Shadow Puppetry Art Theatre,this group of young people rarely had the chance to meet people like themselves,lacked friends,faced obstacles at work,and felt alienated from society.Now,...Before joining the Beijing Dragon Shadow Puppetry Art Theatre,this group of young people rarely had the chance to meet people like themselves,lacked friends,faced obstacles at work,and felt alienated from society.Now,they have gained appreciation,recognition,confidence,friendships,and love.展开更多
Microrobotic systems are emerging as transformative technology for minimally invasive medicine,driven by innovations in actuation mechanisms,advanced fabrication paradigms,and multifunctional system integration.This c...Microrobotic systems are emerging as transformative technology for minimally invasive medicine,driven by innovations in actuation mechanisms,advanced fabrication paradigms,and multifunctional system integration.This comprehensive review analyzes the evolution of microrobotic technologies through three critical dimensions:(1)actuation modalities,including magnetic,optical,acoustic,chemical,and biological actuation,with a focus on the synergistic advantages of hybrid actuation strategies in complex internal physiological environments;(2)Fabrication methods cover technolo-gies such as photolithography,microinjection molding,self-assembly,and 3D printing,emphasizing innovative strategies involving multi-technology integration and collaborative manufacturing of bio/non-bio hybrid materials;(3)Internal phys-iological applications involve disease diagnosis,targeted drug delivery,minimally invasive surgery,tissue engineering,and cell manipulation,highlighting the broad prospects of microrobots in precision medicine.Despite remarkable progress,critical challenges remain,including low actuation efficiency,as seen in acoustic systems,limited biocompatibility,exem-plified by the toxicity of hydrogen peroxide in chemical actuation,delayed clinical translation,and other related challenges that must be addressed to advance the field.展开更多
Lin Shuran and her husband Fang Chuxiang are exceptional artists who are often mentioned together when talking about contemporary Lingnan art.Compared to her husband’s fame in the field of flower-andbird painting,Lin...Lin Shuran and her husband Fang Chuxiang are exceptional artists who are often mentioned together when talking about contemporary Lingnan art.Compared to her husband’s fame in the field of flower-andbird painting,Lin shows unique artistic sensitivity as a female inheritor of the Lingnan School and quietly preserves the cultural lineage of Lingnan painting.展开更多
Ganmai Dazao Decoction,originating from“Jin Gui Yao Lue”(Synopsis of the Golden Chamber),is a classical prescription for treating visceral agitation.Composed of three medicinal and edible substances-licorice(Gancao)...Ganmai Dazao Decoction,originating from“Jin Gui Yao Lue”(Synopsis of the Golden Chamber),is a classical prescription for treating visceral agitation.Composed of three medicinal and edible substances-licorice(Gancao),wheat(Xiaomai),and jujube(Dazao),it functions to nourish the heart and calm the mind,harmonize the middle burner and regulate Qi,and alleviate urgency and restlessness.As its clinical application has expanded from traditional emotional disorders to neurological,endocrine,and various psychosomatic diseases,establishing a scientifically precise quality control system and deeply elucidating its pharmacodynamic material basis and mechanism of action have become critical tasks.Modern analytical methods,typified by chromatography,spectroscopy,and their hyphenated techniques,with their high sensitivity,high resolution,and powerful substance characterization capabilities,have become the core driving force for standardizing the quality control and modernizing the clinical application research of this formula.This paper systematically reviews the progress of the aforementioned analytical techniques and chemometrics in interpreting the chemical composition,establishing fingerprint profiles,controlling process quality,and researching the pharmacodynamic material basis of Ganmai Dazao Decoction.Furthermore,it discusses integrated approaches combining analytical techniques with pharmacology and clinical medicine to reveal mechanisms of action and explore therapeutic biomarkers.Finally,it provides an outlook on future directions and challenges,including technological integration and innovation,standardization of whole-process quality control systems,and evidence-based research aimed at internationalization.展开更多
Synaptic pruning is a crucial process in synaptic refinement,eliminating unstable synaptic connections in neural circuits.This process is triggered and regulated primarily by spontaneous neural activity and experience...Synaptic pruning is a crucial process in synaptic refinement,eliminating unstable synaptic connections in neural circuits.This process is triggered and regulated primarily by spontaneous neural activity and experience-dependent mechanisms.The pruning process involves multiple molecular signals and a series of regulatory activities governing the“eat me”and“don't eat me”states.Under physiological conditions,the interaction between glial cells and neurons results in the clearance of unnecessary synapses,maintaining normal neural circuit functionality via synaptic pruning.Alterations in genetic and environmental factors can lead to imbalanced synaptic pruning,thus promoting the occurrence and development of autism spectrum disorder,schizophrenia,Alzheimer's disease,and other neurological disorders.In this review,we investigated the molecular mechanisms responsible for synaptic pruning during neural development.We focus on how synaptic pruning can regulate neural circuits and its association with neurological disorders.Furthermore,we discuss the application of emerging optical and imaging technologies to observe synaptic structure and function,as well as their potential for clinical translation.Our aim was to enhance our understanding of synaptic pruning during neural development,including the molecular basis underlying the regulation of synaptic function and the dynamic changes in synaptic density,and to investigate the potential role of these mechanisms in the pathophysiology of neurological diseases,thus providing a theoretical foundation for the treatment of neurological disorders.展开更多
THE Nanjing Yunjin brocade,known for its stunning luster,exquisite patterns,and a wealth of shades,represents the highest level of Chinese brocade craftsmanship.It was the designated textile for the imperial courts of...THE Nanjing Yunjin brocade,known for its stunning luster,exquisite patterns,and a wealth of shades,represents the highest level of Chinese brocade craftsmanship.It was the designated textile for the imperial courts of the Yuan(1206-1368),Ming(1368-1644),and Qing(1616-1911)dynasties,and is still highly regarded to this day.展开更多
基金funded by the project of Guangdong Provincial Basic and Applied Basic Research Fund Committee(2022A1515240073)the Pearl River Talent Recruitment Program(2019CX01G338),Guangdong Province.
文摘Construction engineering and management(CEM)has become increasingly complicated with the increasing size of engineering projects under different construction environments,motivating the digital transformation of CEM.To contribute to a better understanding of the state of the art of smart techniques for engineering projects,this paper provides a comprehensive review of multi-criteria decision-making(MCDM)techniques,intelligent techniques,and their applications in CEM.First,a comprehensive framework detailing smart technologies for construction projects is developed.Next,the characteristics of CEM are summarized.A bibliometric review is then conducted to investigate the keywords,journals,and clusters related to the application of smart techniques in CEM during 2000-2022.Recent advancements in intelligent techniques are also discussed under the following six topics:①big data technology;②computer vision;③speech recognition;④natural language processing;⑤machine learning;and⑥knowledge representation,understanding,and reasoning.The applications of smart techniques are then illustrated via underground space exploitation.Finally,future research directions for the sustainable development of smart construction are highlighted.
文摘BACKGROUND Surgically created arterio-venous fistulas(AVFs)are the gold standard for haemodialysis access for patients with end-stage renal disease.Standard practice of AVF creation involves selecting the non-dominant upper limb and starting with most distally with radio-cephalic arterio-venous fistula.The primary patency rate of radio-cephalic arterio-venous fistula varies from 20%-25%.It has been suggested the neointimal hyperplasia at the mobilized venous segment causes stenosis of the anastomosis.Therefore,the radial artery deviation and reimplantation(RADAR)technique,in which the vein is minimally mobilized,should result in a higher success rate.AIM To compare the RADAR technique with classical technique in creation of AVF including:(1)Success rate;(2)Time to maturation;(3)Duration of surgery;and(4)Complication rate.METHODS In our study we recruited 94 patients in two randomized groups and performed the AVF by the classical method or the RADAR method.RESULTS The RADAR group had higher primary success rate(P=0.007),less rate of complications(P=0.04),shorter duration of surgery(P=0.00)and early time to maturation(0.001)when compared with the classical group.The RADAR procedure is a safe and a more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.CONCLUSION The RADAR procedure is a safe and more efficient alternative to the current classical method of AVF creation.Longer duration of follow-up is required to assess the long-term outcomes in the future.
文摘Objective:To explore the application effect and value of characteristic traditional Chinese medicine(TCM)nursing techniques in the colorectal department in clinical practice,in order to provide references for improving the nursing quality of patients and promoting their rehabilitation.Method:The colorectal department of Hospital A began to implement characteristic TCM nursing techniques in January 2023.Therefore,100 patients admitted to the colorectal department from September 2022 to December 2022 were set as the control group,and 100 patients admitted from January 2023 to April 2023 were taken as the experimental group.The experimental group adopted characteristic TCM nursing techniques,including comprehensive measures such as herbal enema therapy,TCM hip bath,acupoint massage and application,and emotional care;the control group adopted conventional Western medicine nursing methods.The application effect and value of characteristic TCM nursing techniques in the clinical practice of the colorectal department were evaluated by comparing indicators such as the frequency of use,the proportion of treated patients,the number of types,and patient satisfaction between the two groups.Result:After using the characteristic TCM nursing techniques,the recovery speed of the patients in the experimental group was significantly accelerated,and the incidence of complications was significantly reduced.Specifically,the average hospital stay of the patients in the experimental group was shortened by approximately 20%compared with the control group.At the same time,the pain score of the patients in the experimental group was also significantly lower than that of the control group.In addition,the satisfaction rate of the patients in the experimental group with the nursing service was as high as 95%,significantly higher than 80%of the control group.Conclusion:The application and practice of the characteristic TCM nursing techniques in the colorectal department have shown significant advantages in improving the recovery speed of patients and the quality of nursing services,and can be further promoted in clinical practice.
文摘BACKGROUND Congenital renal arteriovenous fistula(RAVF)is a clinically rare condition and frequently missed and misdiagnosed.Multimodal imaging techniques can pro-vide more detailed diagnostic information to help physicians more accurately diagnose and treat diseases.Combining imaging methods to diagnose RAVF has rarely been reported.CASE SUMMARY A 69-year-old female patient presented with gross hematuria that had persisted for 10 days.The patient underwent ultrasound examinations of the kidneys and renal blood vessels,enhanced computed tomography,three-dimensional com-puted tomography angiography,and digital subtraction angiography of the renal arteries.These revealed dilatation of the left renal vein and abnormal shunting between the left renal artery and vein.The patient was diagnosed with a left RAVF using combined multimodal imaging techniques.The patient was treated with left renal artery embolization immediately after renal arteriography.Hema-turia resolved following the left renal artery embolization without serious bleeding or other complications.The patient made a full recovery after one year of postoperative follow-up.CONCLUSION Multimodal imaging techniques complement each other when diagnosing RAVF,providing detailed diagnostic information that can aid in accurate diagnosis and treatment.In addition,this case reminds the sonographer to pay more attention to the color doppler flow imaging and blood flow spectrum when examining the kidney,so as to avoid misdiagnosis of renal cystic lesions as renal cysts and missed diagnosis of RAVF.
文摘The fertile soil of the countryside is also rich in artistic inspiration.“If farmers pick up a brush,they can become artists.If one devotes oneself wholeheartedly to something,a stroke of genius will follow,”said Miao Huixin,a cultural envoy to Shengfeng Village in Youchegang Town,Xiuzhou District,Jiaxing City,Zhejiang Province.
基金financially supported by the Liaoning Revitalization Talents Program (No.XLYC2403107)the Excellent Youth Science Foundation of Liaoning Province (No.2024JH3/10200046)the Basic Scientific Research Project of Liaoning Provincial Department of Education (No.LJ212410163015)。
文摘Despite demonstrating significant anti-tumor potential as an artemisinin derivative,artesunate faces delivery efficiency challenges due to low water solubility and insufficient targeting specificity.To improve the delivery efficiency,we engineered three artesunate(ART) derivatives,AC_(15)-L(linear),AC_(15)-B(branched),and AC_(15)-C(cyclic) with distinct aliphatic chain architectures.Unexpectedly,we observed that AC_(15)-C exhibited superior cytotoxicity against 4T1 breast cancer cells,and had the highest binding affinity for Lon protease 1(LONP1)(-72.6 kcal/mol).Subsequently,disulfide bond-containing lipid-PEG(DSPESS-PEG2K) modified chain architecture-engineered ART derivatives nanoassemblies(NAs) were developed to mitigate solubility-related limitations while enhancing targeting precision.Molecular docking and experimental validation demonstrated that ART derivatives inhibited LONP1 through hydrophobic interactions while preserved Fe^(2+)-mediated Fenton-like reaction activity.In vitro and in vivo evaluations demonstrated that AC_(15)-C NAs outperformed free ART and other NAs,suppressing 4T1 tumor growth via dual action:LONP1-directed mitochondrial proteostasis collapse and reactive oxygen species(ROS) amplification through Fe^(2+)-ART interactions.This study elucidated a novel anti-tumor mechanism of ART through the rational design of derivatives with spatially configured aliphatic chains,and developed reductionresponsive NAs to provide an advanced delivery strategy.
文摘At 82,master craftsman Zhu Bingren,China’s preeminent copper artist,continues to dynamically evolve his ancient heritage,proving that true preservation lies in innovation and bringing tradition into the contemporary world.THE copper art should not be confined to display cases,believes artist Zhu Bingren.From living rooms to fashion runways,and from the Great Wall in Beijing to the Louvre in Paris,the Chinese master craftsman brings his metal creations to life in diverse settings.
基金Supported by Zhoukou Key Science and Technology Research Project(20200816).
文摘With the expansion of peanut planting area year by year,film mulching cultivation has become increasingly important in peanut production due to its unique advantages in enhancing both yield per unit area and overall economic benefits.Based on the varietal characteristics of‘Zhouhua 5’and addressing practical issues in peanut production,this paper summarized key techniques for high-yield and high-efficiency film mulching cultivation of this variety.These techniques cover all critical stages,including land preparation and fertilization,seed preparation,sowing methods,field management,and timely harvesting,providing technical guidance for varietal promotion and peanut production.
基金supported by Healthy China initiative of Traditional Chinese Medicine(No.889042).
文摘Currently,the number of patients with myopia is increasing rapidly across the globe.Traditional Chinese medicine(TCM),with its long history and rich experience,has shown promise in effectively managing and treating this condition.Nevertheless,considering the vast amount of research that is currently being conducted,focusing on the utilization of TCM in the management of myopia,there is an urgent requirement for a thorough and comprehensive review.The review would serve to clarify the practical applications of TCM within this specific field,and it would also aim to elucidate the underlying mechanisms that are at play,providing a deeper understanding of how TCM principles can be effectively integrated into modern medical practices.Here,some modern medical pathogenesis of myopia and appropriate TCM techniques studies are summarized in the prevention and treatment of myopia.Further,we discussed the potential mechanisms and the future research directions of TCM against myopia.Identifying these mechanisms is crucial for understanding how TCM can be effectively utilized in this context.The combination of various TCM methods or the combination of traditional Chinese and Western medicine is of great significance for the prevention and control of myopia in the future.
文摘Network-on-Chip(NoC)systems are progressively deployed in connecting massively parallel megacore systems in the new computing architecture.As a result,application mapping has become an important aspect of performance and scalability,as current trends require the distribution of computation across network nodes/points.In this paper,we survey a large number of mapping and scheduling techniques designed for NoC architectures.This time,we concentrated on 3D systems.We take a systematic literature review approach to analyze existing methods across static,dynamic,hybrid,and machine-learning-based approaches,alongside preliminary AI-based dynamic models in recent works.We classify them into several main aspects covering power-aware mapping,fault tolerance,load-balancing,and adaptive for dynamic workloads.Also,we assess the efficacy of each method against performance parameters,such as latency,throughput,response time,and error rate.Key challenges,including energy efficiency,real-time adaptability,and reinforcement learning integration,are highlighted as well.To the best of our knowledge,this is one of the recent reviews that identifies both traditional and AI-based algorithms for mapping over a modern NoC,and opens research challenges.Finally,we provide directions for future work toward improved adaptability and scalability via lightweight learned models and hierarchical mapping frameworks.
基金Fundación Mujeres por Africa for supporting this work through the fellowship awarded to her。
文摘Neuronanomedicine is a promising interdisciplinary field combining two critical fields,neuroscience and nanotechnology.This study focuses on the engineering of magnetized nanoparticles(MNPs)in diagnosing and treating neurological disorders and brain cancer.Additionally,this mechanism enhances the effectiveness of magnetic-guided drug delivery.The alternating magnetic field is applied to control the directions of the MNPs to target the tumor cells.This study approaches the radiotherapy techniques of magnetic hyperthermia therapy(MHT),wherein the thermal radiative heat transfer effect is applied to achieve homogenous heating to destroy cancer cells.MNPs are injected through the cerebrospinal fluid(CSF)transport in the glymphatic system.The elastic properties of the cerebral arteries cause peristaltic propulsion for the resulting nanofluid.Therefore,the effective Maxwell model for the nanofluid thermal conductivity is selected.The nanofluid governing equations are solved using the perturbation technique under small wavelength number and long wavelength approximation with small Reynolds number.Additionally,the effects of thermal slip and elastic properties boundary conditions are incorporated.The graphical results for the streamwise velocity,pressure,and temperature distributions are plotted using MATLAB package considering the different effects of the magnetic flux intensity,thermal radiation parameter,thermal slipping at boundaries,elastic wall properties,and nanoparticle concentration.The results demonstrate the strong impact of the magnetic field and radiation heating in terms of enhancing the nanofluid CSF flow behavior and destroying cancer.
基金Funding Source:2024 Heilongjiang Province Higher Education Teaching Reform Key Research Project.Project Name:Practice and Exploration of Curriculum-Based Political Education in the Intercultural Communication Course Under the New Liberal Arts Framework(Grant No.SJGZB2024063).
文摘This study investigates how to pedagogically integrate ideological education with competency development in the Intercultural Communication course,a challenge arising from China’s dual reform contexts of the New Liberal Arts initiative and the national curriculum ideology policy.As global interactions intensify,cultivating foreign language professionals who possess both firm cultural confidence and sophisticated intercultural competence have become a critical educational imperative.This exploratory study investigates how a three-dimensional“Value-Knowledge-Competency”framework can guide the redesign of course content,task design,and assessment to achieve organic fusion.Drawing on qualitative data from a case study,it analyzes specific implementation pathways,synthesizes teacher and student feedback,and discusses the resultant challenges and broader implications for foreign language curriculum reform.The findings suggest that such an integrated approach can effectively synergize value guidance with skill cultivation,though its success hinges on overcoming issues related to pedagogical naturalness,resource allocation,and standardized evaluation.
文摘Heat exchangers play a crucial role in thermal energy systems,with their performance directly impacting efficiency,cost,and environmental impact.Apowerful technique for performance improvement can be given by passive enhancement strategies,which are characterized by their dependability and minimal external power requirements.This comprehensive review critically assesses recent advancements in such passive methods to evaluate their heat transfer mechanisms,performance characteristics,and practical implementation challenges.Our methodology involves a systematic and comprehensive analysis of various heat transfer enhancement techniques,including surface modifications,extended surfaces,swirl flow devices,and tube inserts.This approach synthesizes and integrates findings from a broad spectrum of experimental investigations and numerical simulations to establish a cohesive understanding of their performance characteristics and underlyingmechanisms.Based on the findings,passive heat transfer techniques result in significant improvements in thermal performance;for instance,corrugated and roughened surfaces increase the heat transfer coefficient by 50%–200%,and advanced insert geometries,such as modified twisted tapes,can increase it by more than 300%,typically accompanied by significant pressure-drop penalties.However,an important finding is the general trade-off between enhanced heat transfer and higher frictional loss,which requires optimization depending on the applications.Finally,this review also provides recommendations that will document the gaps of various passive techniques in heat exchangers to future address.
基金supported by the Institute of Information&Communications Technology Planning&Evaluation(IITP)grant funded by the Korea government(MSIT)(No.RS-2023-00235509Development of security monitoring technology based network behavior against encrypted cyber threats in ICT convergence environment).
文摘With the increasing emphasis on personal information protection,encryption through security protocols has emerged as a critical requirement in data transmission and reception processes.Nevertheless,IoT ecosystems comprise heterogeneous networks where outdated systems coexist with the latest devices,spanning a range of devices from non-encrypted ones to fully encrypted ones.Given the limited visibility into payloads in this context,this study investigates AI-based attack detection methods that leverage encrypted traffic metadata,eliminating the need for decryption and minimizing system performance degradation—especially in light of these heterogeneous devices.Using the UNSW-NB15 and CICIoT-2023 dataset,encrypted and unencrypted traffic were categorized according to security protocol,and AI-based intrusion detection experiments were conducted for each traffic type based on metadata.To mitigate the problem of class imbalance,eight different data sampling techniques were applied.The effectiveness of these sampling techniques was then comparatively analyzed using two ensemble models and three Deep Learning(DL)models from various perspectives.The experimental results confirmed that metadata-based attack detection is feasible using only encrypted traffic.In the UNSW-NB15 dataset,the f1-score of encrypted traffic was approximately 0.98,which is 4.3%higher than that of unencrypted traffic(approximately 0.94).In addition,analysis of the encrypted traffic in the CICIoT-2023 dataset using the same method showed a significantly lower f1-score of roughly 0.43,indicating that the quality of the dataset and the preprocessing approach have a substantial impact on detection performance.Furthermore,when data sampling techniques were applied to encrypted traffic,the recall in the UNSWNB15(Encrypted)dataset improved by up to 23.0%,and in the CICIoT-2023(Encrypted)dataset by 20.26%,showing a similar level of improvement.Notably,in CICIoT-2023,f1-score and Receiver Operation Characteristic-Area Under the Curve(ROC-AUC)increased by 59.0%and 55.94%,respectively.These results suggest that data sampling can have a positive effect even in encrypted environments.However,the extent of the improvement may vary depending on data quality,model architecture,and sampling strategy.
文摘Before joining the Beijing Dragon Shadow Puppetry Art Theatre,this group of young people rarely had the chance to meet people like themselves,lacked friends,faced obstacles at work,and felt alienated from society.Now,they have gained appreciation,recognition,confidence,friendships,and love.
基金National Natural Science Foundation of China(Grant No.61903157)the Foundation of State Key Laboratory of Robotics(Grand No.2024-O08).
文摘Microrobotic systems are emerging as transformative technology for minimally invasive medicine,driven by innovations in actuation mechanisms,advanced fabrication paradigms,and multifunctional system integration.This comprehensive review analyzes the evolution of microrobotic technologies through three critical dimensions:(1)actuation modalities,including magnetic,optical,acoustic,chemical,and biological actuation,with a focus on the synergistic advantages of hybrid actuation strategies in complex internal physiological environments;(2)Fabrication methods cover technolo-gies such as photolithography,microinjection molding,self-assembly,and 3D printing,emphasizing innovative strategies involving multi-technology integration and collaborative manufacturing of bio/non-bio hybrid materials;(3)Internal phys-iological applications involve disease diagnosis,targeted drug delivery,minimally invasive surgery,tissue engineering,and cell manipulation,highlighting the broad prospects of microrobots in precision medicine.Despite remarkable progress,critical challenges remain,including low actuation efficiency,as seen in acoustic systems,limited biocompatibility,exem-plified by the toxicity of hydrogen peroxide in chemical actuation,delayed clinical translation,and other related challenges that must be addressed to advance the field.
文摘Lin Shuran and her husband Fang Chuxiang are exceptional artists who are often mentioned together when talking about contemporary Lingnan art.Compared to her husband’s fame in the field of flower-andbird painting,Lin shows unique artistic sensitivity as a female inheritor of the Lingnan School and quietly preserves the cultural lineage of Lingnan painting.
文摘Ganmai Dazao Decoction,originating from“Jin Gui Yao Lue”(Synopsis of the Golden Chamber),is a classical prescription for treating visceral agitation.Composed of three medicinal and edible substances-licorice(Gancao),wheat(Xiaomai),and jujube(Dazao),it functions to nourish the heart and calm the mind,harmonize the middle burner and regulate Qi,and alleviate urgency and restlessness.As its clinical application has expanded from traditional emotional disorders to neurological,endocrine,and various psychosomatic diseases,establishing a scientifically precise quality control system and deeply elucidating its pharmacodynamic material basis and mechanism of action have become critical tasks.Modern analytical methods,typified by chromatography,spectroscopy,and their hyphenated techniques,with their high sensitivity,high resolution,and powerful substance characterization capabilities,have become the core driving force for standardizing the quality control and modernizing the clinical application research of this formula.This paper systematically reviews the progress of the aforementioned analytical techniques and chemometrics in interpreting the chemical composition,establishing fingerprint profiles,controlling process quality,and researching the pharmacodynamic material basis of Ganmai Dazao Decoction.Furthermore,it discusses integrated approaches combining analytical techniques with pharmacology and clinical medicine to reveal mechanisms of action and explore therapeutic biomarkers.Finally,it provides an outlook on future directions and challenges,including technological integration and innovation,standardization of whole-process quality control systems,and evidence-based research aimed at internationalization.
基金supported by the National Natural Science Foundation of China,No.31760290,82160688the Key Development Areas Project of Ganzhou Science and Technology,No.2022B-SF9554(all to XL)。
文摘Synaptic pruning is a crucial process in synaptic refinement,eliminating unstable synaptic connections in neural circuits.This process is triggered and regulated primarily by spontaneous neural activity and experience-dependent mechanisms.The pruning process involves multiple molecular signals and a series of regulatory activities governing the“eat me”and“don't eat me”states.Under physiological conditions,the interaction between glial cells and neurons results in the clearance of unnecessary synapses,maintaining normal neural circuit functionality via synaptic pruning.Alterations in genetic and environmental factors can lead to imbalanced synaptic pruning,thus promoting the occurrence and development of autism spectrum disorder,schizophrenia,Alzheimer's disease,and other neurological disorders.In this review,we investigated the molecular mechanisms responsible for synaptic pruning during neural development.We focus on how synaptic pruning can regulate neural circuits and its association with neurological disorders.Furthermore,we discuss the application of emerging optical and imaging technologies to observe synaptic structure and function,as well as their potential for clinical translation.Our aim was to enhance our understanding of synaptic pruning during neural development,including the molecular basis underlying the regulation of synaptic function and the dynamic changes in synaptic density,and to investigate the potential role of these mechanisms in the pathophysiology of neurological diseases,thus providing a theoretical foundation for the treatment of neurological disorders.
文摘THE Nanjing Yunjin brocade,known for its stunning luster,exquisite patterns,and a wealth of shades,represents the highest level of Chinese brocade craftsmanship.It was the designated textile for the imperial courts of the Yuan(1206-1368),Ming(1368-1644),and Qing(1616-1911)dynasties,and is still highly regarded to this day.
